Richard Pearlstein, MD
Otolaryngology · Phoenix, AZNPI 1134214851
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $8,803 of the $9,841 with a category attached, or 89.5%. Inspire Medical Systems, Inc. accounts for 72.5% of it on its own, with 23 other manufacturers making up the rest. Among otolaryngology clinicians in AZ with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 229 payments — averaging $42.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$7K
- Medtronic$499
- Aerin Medical Inc.$472
- GSK$349
- Regeneron Healthcare Solutions, Inc.$263
- ZOLL Respicardia, Inc.$262
- plus $858 from 18 others
What the payments were for
- Travel & lodging$1,03811%
- Food & beverage$8,80389%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Inspire Medical Systems, Inc. | 140 | $7,138 |
| Medtronic(2 entities) | 8 | $499 |
| Aerin Medical Inc. | 12 | $472 |
| GSK | 21 | $349 |
| Regeneron Healthcare Solutions, Inc. | 13 | $263 |
| ZOLL Respicardia, Inc. | 2 | $262 |
| Sanofi | 6 | $171 |
| Ambu Inc. | 3 | $162 |
| Optinose US, Inc. | 6 | $130 |
| Vertex | 2 | $57 |
| Neurent Medical Limited | 2 | $54 |
| Regeneron | 1 | $39 |
| Stryker | 2 | $33 |
| Novartis | 1 | $30 |
| Baxter Healthcare | 1 | $26 |
| Hologic Sales And Service, LLC | 1 | $23 |
| Covidien LP | 1 | $22 |
| Hikma Pharmaceuticals USA | 1 | $19 |
| Intersect ENT, Inc. | 1 | $18 |
| Davol Inc. | 1 | $17 |
| Lilly USA, LLC | 1 | $16 |
| AstraZeneca | 1 | $16 |
| Acclarent, Inc | 1 | $15 |
| Smith+Nephew | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$9,841 in reported general payments places this provider in the 90th percentile of 150 otolaryngology providers in Arizona.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ipratropium Bromide | 129 | $5,726 |
| Fluticasone Propionate | 32 | $746 |
| Ofloxacin | 16 | $704 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 21 | $701 |
| Cephalexin | 60 | $535 |
| Fluocinolone Acetonide Oil | 13 | $520 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 33 | $495 |
| Ondansetron OdtOndansetron | 81 | $353 |
| Methylprednisolone | 42 | $310 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 35 | $280 |
| Tramadol Hcl | 35 | $66 |
| Azithromycin | 20 | $61 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Phoenix
- Peter KaiserPhoenix$114K
- Farhan TaghizadehPhoenix$46K
- Shawn StevensPhoenix$33K
- Devyani LalPhoenix$8K
- Christian PaquetPhoenix$8K
- Alyson KaplanPhoenix$6K
- Manikandan SugumaranPhoenix$6K
- Robert BridgePhoenix$6K
- Jeffrey TaffetPhoenix$6K
- Michael GutmanPhoenix$4K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.